CPT 99459 pays $17.37 in a non-facility setting and $17.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.92 in Arkansas to $20.55 in California, a 38% spread.
National non-facility rate
$17.37
Office and other outpatient settings
Hospital and ASC settings
California
Arkansas · 38% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| California | $20.55 | $20.55 | |
| District of Columbia | $20.46 | $20.46 | |
| Washington | $19.80 | $19.80 | |
| Hawaii | $19.75 | $19.75 | |
| New Jersey | $19.56 | $19.56 | |
| Massachusetts | $19.51 | $19.51 | |
| New York | $19.38 | $19.38 | |
| Connecticut | $18.71 | $18.71 | |
| Alaska | $18.50 | $18.50 | |
| Colorado | $18.48 | $18.48 | |
| Oregon | $18.30 | $18.30 | |
| Maryland | $18.11 | $18.11 | |
| New Hampshire | $18.08 | $18.08 | |
| Rhode Island | $17.94 | $17.94 | |
| Minnesota | $17.87 | $17.87 | |
| Puerto Rico | $17.56 | $17.56 | |
| Virgin Islands | $17.56 | $17.56 | |
| Florida | $17.43 | $17.43 | |
| Nevada | $17.39 | $17.39 | |
| Montana | $17.37 | $17.37 | |
| North Dakota | $17.37 | $17.37 | |
| South Dakota | $17.37 | $17.37 | |
| Wyoming | $17.37 | $17.37 | |
| Vermont | $17.19 | $17.19 | |
| Delaware | $17.16 | $17.16 | |
| Texas | $17.10 | $17.10 | |
| Virginia | $17.07 | $17.07 | |
| Pennsylvania | $17.01 | $17.01 | |
| Arizona | $16.83 | $16.83 | |
| Illinois | $16.78 | $16.78 | |
| Wisconsin | $16.64 | $16.64 | |
| Maine | $16.60 | $16.60 | |
| Georgia | $16.57 | $16.57 | |
| Utah | $16.33 | $16.33 | |
| Michigan | $16.31 | $16.31 | |
| North Carolina | $16.20 | $16.20 | |
| Indiana | $16.10 | $16.10 | |
| South Carolina | $16.05 | $16.05 | |
| Nebraska | $16.03 | $16.03 | |
| Idaho | $15.98 | $15.98 | |
| Missouri | $15.94 | $15.94 | |
| New Mexico | $15.93 | $15.93 | |
| Iowa | $15.89 | $15.89 | |
| Louisiana | $15.86 | $15.86 | |
| Ohio | $15.86 | $15.86 | |
| Tennessee | $15.79 | $15.79 | |
| Kansas | $15.70 | $15.70 | |
| Oklahoma | $15.51 | $15.51 | |
| Kentucky | $15.44 | $15.44 | |
| Alabama | $15.20 | $15.20 | |
| West Virginia | $15.09 | $15.09 | |
| Mississippi | $14.95 | $14.95 | |
| Arkansas | $14.92 | $14.92 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates